ZZ7-63721-62299
3 vaccinations
6 coded responses
21 check-ins
6 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 992 / WA
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Dose 1 — Moderna
-
2021-02-11
Registered in v-safe
-
2021-02-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-02-12
-
2021-02-13
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Woke up dizzy but better after a couple hrs.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-14
Survey response — days 1–6 daily, dose 1MedDRA: Hypertension, Vertigo — Feeling: Poor · Nausea · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Vertigo, really high blood pressureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-14
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Hypertension — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Very high BP.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Hypertension — Feeling: Fair · Headache, Nausea · Be unable to do your normal daily activitiesFree text: Very high BP but today it is getting better (136/77). I have also had very serious dizzy spells in the mornings since this past Sunday morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
-
2021-02-24
Survey response — day 14, dose 1MedDRA: Dizziness, Emergency care, Hypertension, Office visit, Vertigo — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Continued high BP and vertigo. I dont know if either are related to the vaccine. First vaccine received 2/10, dizziness 2/13 and dizziness and 202/103 while in the ER on 2/14. Scheduled for stress test 3/2 and I also saw my chiropractor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
-
2021-03-11
Dose 2 — Moderna
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-27
- 2021-04-01
- 2021-04-08
- 2021-07-30
-
2021-11-01
Dose 3 — Moderna
-
2022-03-13
Survey response — 12 months, dose 2MedDRA: Dizziness, Dyspepsia, Dyspnoea, Office visit, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Light headed, heart palpitations, can't always draw a deep breath and indigestion. EKG and heart monitor appears normal and blood work appears normal. · Healthcare visit (other): Dr office visits, Cardiologist and GI. Appointments pending with pulmonary and endoscopy.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-13
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2022-03-21
Call successfulReported to VAERS voluntarily prior to GDIT contact
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-11 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
VAERS report filed, before or during a call: 1
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Woke up dizzy but better after a couple hrs.
Systemic reaction (other): Vertigo, really high blood pressure
Systemic reaction (other): Very high BP.
Systemic reaction (other): Very high BP but today it is getting better (136/77). I have also had very serious dizzy spells in the mornings since this past Sunday morning.
Release 4 — day 14, dose 1
Symptoms: Continued high BP and vertigo. I dont know if either are related to the vaccine. First vaccine received 2/10, dizziness 2/13 and dizziness and 202/103 while in the ER on 2/14. Scheduled for stress test 3/2 and I also saw my chiropractor.
Release 11 — 12 months, dose 2
Symptoms: Light headed, heart palpitations, can't always draw a deep breath and indigestion. EKG and heart monitor appears normal and blood work appears normal.
Healthcare visit (other): Dr office visits, Cardiologist and GI. Appointments pending with pulmonary and endoscopy.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspepsia | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hypertension | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release